Capacity Building and Resource Needs of State Health Agencies to Implement Community-Based Cardiovascular Disease Programs

Abstract

State Health Agencies play a critical role in the Nation's efforts for health promotion and disease prevention. This role is especially critical in efforts to reduce the burden of CVD through community-based programs. Resources SHAs need to facilitate implementation of community-based CVD prevention programs fall into three general categories: (a) Adequate time to plan, carry out and evaluate, (b) Financial resources to support staff, community organization and demonstration programs, and (c) Personnel with requisite technical expertise, skills and technological resources. Six critical activities for building state-level CVD program capacity include: (1) Forming a statewide CVD oversight committee, (2) Developing a state CVD plan, (3) Developing quality assurance standards and guidelines, (4) Developing new paradigms of community assessment and evaluation, (5) Planning for institutionalization, and (6) Translation of research to application. SHA roles vary from direct service delivery to serving as a linking agent, transferring information and resources and coordinating efforts between agencies.

Understanding Facilitators of and Barriers to Health Promotion Practice

“…The prominence of internal organizational factors such as human resource levels and/or ability, financial resources, internal priorities and/or interest, and leadership and/or champions in influencing capacity, implementation, and evaluation and research are supported by studies of specific stages of health promotion practice (Foster-Fishman et al, 2001;Joffres et al, 2004;Schwartz et al, 1993). O'Loughlin et al (1998) also pointed out that the presence of committed staff, financial and material resources, modifiability of a program during implementation, quality of intervention-provider fit, and presence of a champion all enhance the chance of long-term sustainability of programs.…”

Translating Research into Improved Outcomes in Comprehensive Cancer Control

“…The PLANET was launched in April 2003 and, as new features have been added, additional rounds of usability testing have been conducted. A key feature of the PLANET launch was suggested by users: that a training program should be offered to ensure that, in their role as intermediaries or linking agents [23], the users would be able to take full advantage of the resources on the site.…”

Assessing Organizational Capability of a Voluntary Organization that Provides Capacity Building Interventions to Socioeconomic Problem: Developing Country Context

“…The voluntary organization should have established capacity on good organizational structure, physical resources (such as organised office, vehicle for easy mobility, skilled workers and relevant equipment that relate to their services), working capital, leadership and skills before she can provide meaningful CBIs to community in their area of competency. Many writers such as Roper, et al (1992), Meissner, et al (1992), Schwartz, et al (1993), Hawe, et al (1997 and Bush, et al (2002) have emphasized the importance role of this key area of capacity building (infrastructure development) in their studies and which is only being echoed and adopted in this paper.…”